ABSTRACT
Background: gallstone disease is defined as the presence of gallstones accompanied by symptoms attributable to their presence [Biliary colic] or complications such as cholecystitis, cholangitis and biliary pancreatitis. In addition, the disease is thought to be a risk factor for developing pancreaticobiliary cancer
Objective: this study aimed to determine the rate of biliary disease in King Faisal Medical Complex as a reflection of the prevalence of the disease in Taif region
Methods: this a cross sectional retrospective analysis included 565 patients with gallstone disease, in King Fisal Medical Complex during 1 year [from 1 July 2015 to 30 Jun 2016]. Data of the patients were collected from patient's files which included 4 departments. 1-Emrgency Room 2-Surgical Outpatient Department 3-Operating Room and 4-Histopathological Department
Result: this study included 565 patients with gallstone disease, [10 years and above]. 398 [70%] females, 167[30%] males. Mean age for females was 44.89 years [SD+15.93], Mean age for males was 48.45 years [SD+19.67]. The overall ratio of gall bladder disease to all general surgery operation was 24%. The Majority of them diagnosed with chronic cholecystitis present to OPD [57%], while acute cholecystitis presented to ER was 43%. Most of them were females [77%] while, males were 23%. 85% of patients underwent to lap cholecystectomy with 1% rate of conversion. 14% of patients underwent ERCP and 1% open cholecystectomy. There was significant gender differences in type of operation [P value=.013]. 38% of male patients with gallstone disease came to the emergency department compared to 62 % of females. Variety of GBD diagnosis was observed, chronic calculous cholcystitis [50%] acute calculous cholecystitis and empyema [30%], obstructive jaundice [14%], Biliary colic [5%], GB mass [1%]
Conclusions: the number of patients presented with gall stones disease and it's complications to King Faisal Medical Complex, Taif alone showed significant high number, mostly due to hypoxia as our region is one of the highest altitude region in the Middle East. Prevalence of disease was more in female population and it showed the target population which should be educated regarding prevention of disease
ABSTRACT
Background: Epilepsy is a disorder of the brain characterized by an enduring predisposition to generate epileptic seizures and by the neurobiological, cognitive, psychological, and social consequences of this condition. The definition of epilepsy requires the occurrence of at least one epileptic seizure
Aim of the Study: To asses and evaluate general population understanding, knowledge and attitude toward epilepsy and epileptic patients
Methods: It's a cross-sectional randomized study conducted in Kingdome of Saudi Arabia. An online questionnaire designed to survey public awareness and attitudes toward epilepsy that posted online and distributed to the public. Estimated about 1000 cases and the statistical package SPSS version 21 was used for data analysis
Result: 20.2% of the participants have a family member with Epilepsy. When asked if they can define Epilepsy; [39.6%] from the Southern region believe that they can, followed by the rest of the regions with similar percentages. 40.3% of female participants knew the causes of epilepsy and also 40.3% of males. The western region was leading with 29% knowing the causes of Epilepsy. [30.4%] of females knew how to handle a seizing patient while only [22.4%] of males knew how. The Western region had the highest positive response [31.5%]. A high percentage of Males [81.2%] did not think that there're different levels of Epilepsy while only [4.3%] of females agree on that. Most the responses received from males [43.6%], females [43.6%] and by regional division; [40%] West, [49%] South, [41.8%] North, [45.5%] Centre, [47.1%] East, agreed that epilepsy isn't a genetic disorder. [36.5%] of females did not think that epilepsy affects the brain function; [29.1%] of males, [34.9%] West, [37.8%] Central, [41.4%] East, [34.5%] North and [22.9%] South had the same opinion
Conclusion: we noticed that the awareness and attitudes of the Saudi public toward epilepsy is less than expected especially from college students. We plan to target all our community from the different level of education and regions for more education in order to lower this stigma of epilepsy